I've never had plastic surgery and don't plan to, but I have tried various injectibles. I started using them about 7 years ago when I noticed that my face was beginning to look haggard, which is not uncommon for small, thin women as we age. To paraphrase Zsa Zsa Gabor, when you get older it's either your face or your fanny. I think that's very true, as I've definitely noticed that aging women who are heavier tend to have fuller faces with less wrinkles. Since I didn't think the answer was to gain weight, I decided to try fillers and I've been happy with the results, minus a few disappointments like Sculptra and Ultherapy.
The past few years, I've been getting intensive radio frequency laser treatments that build up collagen naturally so I haven't had to get fillers that often, other than dysport or botox in my forehead and around my eyes. I did try a small amount of lip filler once and liked the results, but it's not a priority for me to have full lips. I didn't feel any diffierence in how my lips felt, kissing or otherwise.
Bottom line for me is to look natural, but more vibrant. I don't mind being 61, I just don't want to look tired and worn down, even if I do feel that way sometimes.
As these kinds of enhancements have become more popular I think the stigma is fading. I've never understood why it's cool to have a tattoo which is a much more noticeable change to physical appearance, but it's considered vain to use botox or fillers.